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NPI Code Detail

MEDICARE: LISA SIMPSON LMHC LCAC

MEDICARE: LISA SIMPSON LMHC LCAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor87000859AIN
2101YM0800XMental Health Counselor39003000AIN

General Provider Information

NPI Number : 1396113916
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA SIMPSON LMHC LCAC
Provider Business Mailing Address
First Line : 310 ARTIST DR APT B
Second Line :
City : NASHVILLE
State : IN
Zip : 47448-8104
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1156 OLD STATE ROAD 46
Second Line :
City : NASHVILLE
State : IN
Zip : 47448-9211
Country : US
Telephone Number : 812-988-2258
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2015
Last Update Date : 04/19/2024

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Directions to “ LISA SIMPSON LMHC LCAC” Practice Location

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